Individual
GRETCHEN SUSANNE BIGGERSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 S HANCOCK ST, MC LEANSBORO, IL 62859-1996
(618) 925-3150
Mailing address
1706 S HANCOCK ST, MC LEANSBORO, IL 62859-1996
(618) 925-3150
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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